• Title/Summary/Keyword: Nursing Homes

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Transition Experiences of the Elderly from Long-Term Care Hospital to Home: Focusing on the Elderly Living Alone of Community Care Project (요양병원 장기입원 노인의 재가 전환 경험: 지역사회 통합돌봄 독거노인을 중심으로)

  • Hwang, Yun Hee;Lee, Ga Eon
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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    • pp.382-395
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    • 2021
  • Purpose: The purpose of this qualitative study was to explore the transition experiences of the elderly from long-term care hospitals to their homes. Methods: The participants were eight elderly medicaid beneficiaries, who had been the subjects from the community care project in Korea. The data were collected with one-on-one interviews from April to November in 2020, and analyzed by phenomenological steps. Results: The seven themes derived in this study were 'Space to escape', 'Reliable supporter opened the way to discharge', 'Comfortable life at home', 'Obstacles to independent life', 'Struggling to live alone', 'Fence for community life', and 'Energizing in daily life' Conclusion: The results revealed the positive aspects of Community Care program in Korea. However, it is suggested that active communication between hospitals and community care institutions, and improvement of home environment to live in the community before discharge should be required. And system revision is needed to adjust activity in their home and support health problems of the elderly in the early stage of discharge. The results of this study can be referred to as the foundation of transitional care for the elderly.

Analysis of the Types of Dementia Patients for Development of Clothes for Dementia Patient in Nursing Homes (요양시설 치매환자복 디자인 개발을 위한 치매환자의 유형 분석)

  • Park, Kwang Ae;Yang, Chung Eun;Lee, Jae Hyang;Kim, Hee-Jung
    • Journal of the Korean Society of Clothing and Textiles
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    • v.45 no.5
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    • pp.788-803
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    • 2021
  • This study aims to obtain basic data to develop clothes for dementia patients by classifying types of dementia patients. Data was collected from those dementia patients who entered a nursing home. This study analyzed a total of 221 sheets. Furthermore, descriptive statistics, cross-tabulation, and K-means clustering were performed for statistical processing using Minitab 14. As a result, dementia patients were classified into four types: inactive-dependent, active-problematic behavior, activity-autonomy, and inactive-offensive. Inactive-dependent type was a group with the most severe disability in cognitive and daily activity functions; however, they lacked behavioral and psychological symptoms and problematic behavior with clothes. Active-problematic behavior type showed the most behavioral and psychological problems and problematic behavior with clothes. Activity-autonomy type was a group without any problematic behaviors. Moreover, the inactive-offensive type had very good cognitive function toward humans. The study imply that it is necessary to provide clothes with proper functions based on the types of patients rather than providing them uniform clothes because clinical and clothes behaviors differ significantly depending on the types of dementia patients.

The Variation of Indoor Air Quality in Nursing Home

  • Ji, Dong-Ha;Choi, Mi-Suk
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.1
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    • pp.117-124
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    • 2020
  • In this paper, we proposed a plan to maintain comfortable indoor air quality in nursing homes by suggesting ways to reduce items temporarily exceeding the reference values through real-time concentration variation analysis of indoor air quality. Five items including PM10, CO2, CO, VOC, and Radon are measured at nursing homes in spring (April) and autumn (September) was carried out and all of the measured items were analyzed to satisfy the criteria set by the Indoor Air Quality Control Act. As a result of the analysis of the real-time concentration change, the concentration of CO2 was close to the reference value based on the number of occupants in the sick room. Due to the disinfectant (alcohol) used to disinfect and the auxiliary tools (adhesive) used in the operation of the program such as making and coloring, it was analyzed to temporarily exceed the standard value in the hall. In conclusion, it is possible to provide pleasant indoor air quality and contribute to securing the nursing home's competitiveness if periodic ventilation, natural disinfectant and eco-friendly product are used in consideration of the thermal environment.

Adoption of the Use of Smart Technology by Health-care Workers in Nursing Homes: an Exploratory Study (노인요양시설의 스마트 기술 도입에 대한 탐색적 연구 -요양시설 종사자 답변을 중심으로-)

  • Lee, Sunhyung;Ahn, Joonhee
    • The Journal of the Korea Contents Association
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    • v.14 no.8
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    • pp.156-171
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    • 2014
  • The purpose of this exploratory study is to examine if the application of smart technology(ST) would assist adjustment to the nursing home facilities in the elderly. Since there is not much previous research on this subject, we generated survey questionnaires on our own. Data were collected from the survey of 127 employees at 6 nursing homes including geriatric care workers, social workers and nurses who provide direct as well as indirect care services. Results showed that the utilization of ST would benefit the areas of family relationship support, health support, leisure support, and physical environment adjustment. As for physical environment adjustment, study participants reported that ST would help elders familiarize employees and find directions for specific space the most. As for health support, ST would be best utilized as a security sensor and program alarm system. As for support for family relationship, ST was expected to be utilized as looking at family pictures and playing with self pictures/videos. As for leisure support, ST was expected to assist elders to listen to music and watch movies/TV. These results were different according to the characteristics of the participants and the smartifacts. These results of the study will show the direction for more in-depth studies on application of smart technology for the elderly in the future.

Changes of Postprandial Blood Pressure of Elderly in Nursing Homes by Position (시설 거주 노인의 식사 후 체위에 따른 혈압의 변화양상)

  • Son, Jung Tae;Lee, Eunjoo;Park, Ji Hyun
    • 한국노년학
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    • v.32 no.3
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    • pp.689-701
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    • 2012
  • The purposes of this study were to identify the changes of postprandial blood pressure and pulse rates of elderly living in nursing homes by time and position after a meal. Blood pressure and pulse rates of 141 elderly aged over 65 years were measured at before the meal to 90 minutes after the meal by 15 min. interval. Data were analyzed by descriptive statistics, repeated measures of ANOVA, ANCOVA, and t-test using the SPSS program. There were no significant differences in change of systolic blood pressure and pulse rates by time between sitting group and lying group after meal. The biggest drops in systolic pressure in sitting and lying position were occurred at 30 min and 45min respectively after the meal. There were no significant change in pulse rates except for the immediately after meal in lying position. To prevent complications of postprandial blood pressure reduction, nurses should carefully monitor blood pressure of elderly in lying position at least from 30 min. till to 90 min. after the meal.

Comparative Study on Dietary Life and Nutrient Intakes of Elderly Persons at Nursing Home or Their Home in Chungnam (충남지역 일부 시설노인과 재가노인의 식생활 및 영양섭취상태 비교)

  • Song, Eun-Sook;Kim, Eun-Jin;Kim, Myung-Hee;Choi, Mi-Kyeong
    • Journal of the East Asian Society of Dietary Life
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    • v.21 no.5
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    • pp.649-660
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    • 2011
  • The purpose of this study was to compare the dietary life and nutrient intakes among elderly persons residing at nursing homes and their homes in order to provide fundamental data for improved foodservice and dietary management. We recruited 150 subjects at a nursing home stay and 150 home stay elderly persons for a survey. The results were as follows. There was no significant difference in frequency of napping between the two groups. The frequency of going out was higher in the home stay subjects, but regular exercise was higher in nursing home stay subjects. Subjects possessed the following diseases: dementia and digestive disorders for nursing home stay elderly men, blood vessel disorder and diabetes for home stay elderly men, digestive and blood vessel disorders for nursing home stay elderly women, and blood vessel and heart disease for home stay elderly women. In a health-related assessment, smoking, drinking, and teeth condition of nursing home stay subjects were not higher than those of home stay subjects. The ratio of subjects who ate meals everyday was higher in nursing home stay elderly women than in home stay women. While most nursing home subjects ate adequate amount of meals, home stay subjects ate until they were full. The daily energy intakes of men and women were 2,229.9 kcal and 2,302.1 kcal for nursing home subjects and 1,894.0 kcal and 1,885.9 kcal for home subjects, respectively. Nutrient intake was also higher in nursing home than home stay subjects. In summary, the dietary life of elderly persons residing in a nursing home was higher than that of elderly persons residing at their home from the view point of meal frequency, meal intake, and nutrient intakes. Therefore, systematic assessment and management of nutrition for elderly staying at a nursing home or at home alone should be conducted continually.

The Effects of a Folk Play Program on Cognition, ADL, and Problematic Behavior in the Elderly with Dementia (민속놀이 프로그램이 치매노인의 인지기능, 일상생활수행능력 및 문제행동에 미치는 효과)

  • Kim, Jung-Soon;Jung, Jeong-Sim
    • Journal of Korean Academy of Nursing
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    • v.35 no.6
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    • pp.1153-1162
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    • 2005
  • Purpose: This study was to develop and evaluate a folk play program as a nursing intervention for the elderly with dementia. Method: First, a folk play program was developed through a careful study of literature review and field-work. Second, a nonequivalent control group pre-post test was designed. The subjects of the study were the elderly with dementia staying in nursing homes; 15 were in an experimental group adopting a folk play program developed through this study, 18 in the control group on a gymnastics and walking program which is generally used. The 40 min. intervention was conducted 5 times a week for 4 weeks. Result: The folk play program improved the cognition(t=6.12, p<.001) and ADL(t=2.92, p=.014) and diminished the frequency of problematic behaviors significantly(t=-6.39, p<.001). There was a significant difference of cognition, ADL, and problematic behaviors between the control and the experimental group before and after the experiment(t=3.38, p=.002; t=2.05, p=.046; t=-7.74, p<.001). Conclusion: Compared with the gymnastics and walking program, the folk play program proved to be much more effective in the elderly with dementia in improving their cognition and ADL, as well as in diminishing their problematic behaviors. Therefore, a folk play program should be appliedas an effective and practical Korean nursing intervention for the elderly with dementia.

Influence of Safety Culture Perception, Safety Control and Safety Management Activities as Perceived for Nurses in Nursing Home (융복합의 장기요양시설 간호사의 환자안전문화인식과 안전통제감이 안전관리활동에 미치는 영향)

  • Seo, Young-Sook;Do, Eun-Su
    • Journal of Digital Convergence
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    • v.13 no.9
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    • pp.303-311
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    • 2015
  • This study has been done to identify the effect of safety culture perception, safety control and safety management activities as perceived by nursing home nurses. A total of 146 cases recruited safety culture perception, safety control and safety management activities. Data were analyzed using the SPSS/WIN 21.0 Program. The factor that had the most impact on safety management activities were safety culture perception (${\beta}=.40$, p<.001), safety control (${\beta}=.27$, p=.002), experience of safety education (${\beta}=.19$, p=.015), age (${\beta}=.19$, p=.027). The regression model explained 34.5% of the variances(F=5.51, p<.001). The study finding suggests that to develop the program with achievement of safety management activities for nurses of the nursing home.

A Case Study on Care Workers' Experiences of Coping with Falls among Community-Dwelling Elders (재가노인 방문요양보호사의 낙상관련 대처 경험에 관한 연구)

  • Lim, Sun-Young;Park, Hye-Sun;Ma, Ryewon
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.3
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    • pp.99-110
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    • 2021
  • Purpose: The purpose of this study was to understand the experience and meaning of falls among care workers caring for the elderly. Methods: The participants comprised 10 care workers in Seoul and Gyeonggi Province, South Korea. The data collection period was from September to November 2020, and the data were obtained through individual in-depth interviews. The collected data were analyzed using the content analysis method of qualitative research. The main interview questions were as follows: First, in the event of a fall, "can you tell us about your experience and how you dealt with the fall?; second, "can you tell us about your role and the role of family members or the center that manages falls that occur outside of nursing visits.", third, "can you tell us about the difficulties in managing falls based on your experience?", and fourth, "how are falls that occur during nursing visits managed?" Results: As a result of analyzing the experiences of nursing care workers of falls while caring for elders in their homes, five main themes were derived. These were understanding the characteristics of the elderly at home, understanding possible emergency situations, providing caring services, minimizing physical harm, and delivering clear information. Conclusion: A significant finding of this study was that care workers who visit and provide care to elders at home confirmed the need for standard guidelines on appropriate responses in the event of a fall at home and the importance of managing emergencies arising from falls among elders at home. These results highlight the need for the development of emergency response education programs, such as programs on fall care among nurses and care workers who provide care to the elderly, and for enhanced understanding of the fall risk of elders who live at home.

Factors related to Family Caregiver Satisfaction with Elderly in Nursing Facilities (시설입소 노인환자 부양가족의 만족도 영향요인)

  • Kim, Young ae;Kim, Soon Ae;Lee, Joo Young;Hwang, Moon Sook;Yoon, Hee Sang
    • 한국노년학
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    • v.29 no.2
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    • pp.395-405
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    • 2009
  • This study aims at providing an upgraded suggestion to improve satisfaction for the family caregiver. This study was conducted to find the relationship between satisfaction and family support and outcome indicator to investigate the factors that have influence on the satisfaction. The study population was 126 families of 5 elderly residing in institutionalized elderly homes in seoul and kyunggi. The data collection was measured satisfaction, family support, and outcome indicator instrument. The satisfaction showed meaning relationship with outcome indicator and family support. Explainary power of independent variables of product index was 23%. Factors influencing satisfaction for the family was economic level, family support and outcome indicator. This study was done to give suggestions to improve family caregiver satisfaction and to serve as a basis for policy strategies by examining the current conditions of the nursing facilities.